JP2017513902A - アルファ−フェトプロテイン(afp)を操作するための方法 - Google Patents
アルファ−フェトプロテイン(afp)を操作するための方法 Download PDFInfo
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Abstract
Description
本出願は、35 U.S.C.§119(e)の下、2014年4月25日に出願された米国仮出願第61/984,252号および2015年1月9日に出願された米国仮出願第62/101,539号への優先権を主張し、それらの各々の内容は、参照によりその全体が本明細書に組み入れられる。
本発明は、国立衛生研究所(NIH)により付与された助成金DK-53056下、政府支援をもって成されたものである。政府は、本発明において特定の権利を有する。
技術分野は、アルファ−フェトプロテインのレベルおよび活性を調節するための組成物および方法に関する。
アルファ−フェトプロテイン(AFP)は、胎児における主要な血漿タンパク質であり、卵黄嚢および肝臓により産生される(Ingram et al., 1981)。成人においては、腫瘍(例えば肝臓がんまたは奇形腫)が存在する場合を除き、その濃度は非常に低い。アルファ−フェトプロテイン遺伝子およびアルブミン遺伝子はシンテニーであり、哺乳動物のAFP遺伝子および血清アルブミン遺伝子は、3〜5億年前に祖先遺伝子の重複によって生じたと考えられている。
本明細書において記載する組成物および方法は、部分的に、アルファ−フェトプロテイン(AFP)が新生児Fc受容体に対する第3のリガンドであるとの発見に基づいている。本明細書において実証するように、可溶性ヒトFcRnは、アルブミンで観察されるよりも高い親和性でAFPに結合し、FcRn媒介性のIgGの保護およびIgGとの機能的会合を妨害することができる。本明細書においてさらに示すように、FcRn上のAFP結合部位はFcRn上のアルブミン結合部位と重なっており、hFcRn上のアルブミン部位について特異的である抗体は、FcRn媒介性AFP輸送を減少させることができる。加えて、本明細書において実証するように、典型的には酸性pH条件下で結合するIgGおよびアルブミンについて観察されるものよりずっと広いpH範囲にわたり、AFPへのFcRnの結合が生じる。また、本明細書において提供するのは、AFPとヒトFcRnとの結合に影響を及ぼすことができるAFP中の単一ヌクレオチド多型(例えば、AFP-FcRn結合を増加させるG109R、R487S、およびS445L、ならびにAFP-FcRnを減少させるT451IおよびD536V)である。
本明細書において他に定義しない限り、本出願と関連して使用される科学用語および技術用語は、本開示が属する技術分野の当業者により一般に理解される意味を有するものとする。本発明は、本明細書において記載する特定の方法論、プロトコル、および試薬などに限定されず、そのようなものとして変更することができることを理解すべきである。本明細書において使用する用語は、特定の態様だけを記載する目的のためであり、本発明の範囲を限定することを意図せず、それは、特許請求の範囲のみにより定義される。免疫学および分子生物学における共通用語の定義が、The Merck Manual of Diagnosis and Therapy, 19th Edition, 出版:Merck Sharp & Dohme Corp., 2011 (ISBN 978-0-911910-19-3);Robert S. Porter et al. (編集者), The Encyclopedia of Molecular Cell Biology and Molecular Medicine, 出版:Blackwell Science Ltd., 1999-2012 (ISBN 9783527600908);およびRobert A. Meyers (編集者), Molecular Biology and Biotechnology: a Comprehensive Desk Reference, 出版:VCH Publishers, Inc., 1995 (ISBN 1-56081-569-8);Immunology by Werner Luttmann, 出版:Elsevier, 2006;Janeway's Immunobiology, Kenneth Murphy, Allan Mowat, Casey Weaver (編集者), Taylor & Francis Limited, 2014 (ISBN 0815345305, 9780815345305);Lewin's Genes XI, 出版:Jones & Bartlett Publishers, 2014 (ISBN-1449659055);Michael Richard Green and Joseph Sambrook, Molecular Cloning: A Laboratory Manual, 4th ed., Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y., USA (2012) (ISBN 1936113414);Davis et al., Basic Methods in Molecular Biology, Elsevier Science Publishing, Inc., New York, USA (2012) (ISBN 044460149X);Laboratory Methods in Enzymology: DNA, Jon Lorsch (編集者) Elsevier, 2013 (ISBN 0124199542);Current Protocols in Molecular Biology (CPMB), Frederick M. Ausubel (編集者), John Wiley and Sons, 2014 (ISBN 047150338X, 9780471503385), Current Protocols in Protein Science (CPPS), John E. Coligan (編集者), John Wiley and Sons, Inc., 2005;およびCurrent Protocols in Immunology (CPI) (John E. Coligan, ADA M Kruisbeek, David H Margulies, Ethan M Shevach, Warren Strobe, (編集者) John Wiley and Sons, Inc., 2003 (ISBN 0471142735, 9780471142737)において見出され、それらの内容は、それらの全体が参照により本明細書中に組み入れられる。
アルファ−フェトプロテイン(AFP)が新生児Fc受容体つまりFcRnに対する第3のリガンドであるとの本明細書において記載する発見に関係する組成物および方法を本明細書において提供する。
FcRnは、新生児Fc受容体としても公知であり、Fcgrt遺伝子によりコードされる。それは、3つの細胞外ドメイン(α1、α2、およびα3)を含む重鎖、一回膜貫通ドメイン、および短い細胞質尾部からなるMHCクラスI様膜貫通タンパク質である(Burmeister et al., 1994a,b;Martin et al., 2001)。適切な機能のために、FcRn重鎖は、軽鎖としての共通のβ2-ミクログロブリンサブユニットと非共有結合的に会合し、それは、α1-α2プラットフォームの下側およびα3ドメインの側の残基を介してFcRnと相互作用する(West & Bjorkman, 2000)。3次構造は、22〜29%の配列相同性を共有するMHCクラスI分子に似ており(Simister & Mostov, 1989)、マウスおよびヒトのFcRn遺伝子はそれぞれ染色体7および19上のMHC遺伝子座の外側に位置付けられる(Ahouse et al., 1993; Kandil et al., 1996)。古典的なMHC分子からのさらなる分岐において、ペプチド残基がMHCクラスI分子に結合する部位は、アルギニン側鎖およびプロリン残基によりFcRn中に閉鎖されていて、FcRnはペプチド抗原をT細胞に提示しない(Burmeister et al., 1994a,b)。
のアミノ酸配列を有する365アミノ酸のFcRnの大サブユニットp51前駆体を含む分子を指し、それは、例えば、NP_004039.1により記載されるように、任意の天然の対立遺伝子、スプライス変異体、およびそのプロセシング形態と一緒に、以下:
のアミノ酸配列を有するβ2ミクログロブリン(「β2m」)鎖と非共有結合的に会合する。典型的には、FcRnはヒトFcRnを指す。用語「FcRn」は、また、例えば、AFPへの結合など、本明細書において記載する関心対象のFcRn機能または活性を保持するFcRnポリペプチドの切断形態またはフラグメントを指すために使用される。FcRnの任意のそのような形態への言及は、本出願において、例えば「FcRn(24-110)」により特定することができる。FcRnの特定の残基は、例えば、「FcRn(53)」または「FcRnのW53」または「FcRnのβ2mのE69」として言及することができる。
のアミノ酸配列を有する609アミノ酸ポリペプチドを指す。典型的には、AFPはヒトAFPを指す。用語「AFP」は、また、一部の態様において、例えば、FcRnへの結合のような、本明細書において記載する関心対象のAFP機能または活性を保持するAFPポリペプチドの切断形態またはフラグメントを指すために使用することができる。AFPの任意のそのような形態への言及は、本出願において、例えば「AFP(211-402)」により特定することができる。AFPの特定の残基は、例えば、「AFP(531)」または「AFPのF531」として言及することができる。
本明細書において提供するのは、アルファ−フェトプロテイン(AFP)が新生児Fc受容体に対する第3のリガンドであるとの発見に部分的に基づく組成物およびその方法である。本明細書において実証するように、可溶性ヒトFcRnは、アルブミンで観察されるより高い親和性で、IgGの親和性よりも小さな親和性でAFPに結合する。本明細書においてさらに示すように、FcRn上のAFP結合部位は、FcRn上のFcRn結合部位上の両方のアルブミン結合部位と直接的に重なっており、主にβ2-ミクログロブリンとの相互作用を介してIgG結合部位と間接的に重なる。FcRnとのIgGの相互作用には、β2-ミクログロブリン内のアミノ酸接触部位が含まれる。hFcRn上のアルブミン部位に対して特異的な抗体は、FcRn媒介性AFP輸送を減少させることができる。本明細書において実証するように、AFPへのFcRnの結合は、IgGおよびアルブミンについて観察されるものよりずっと広いpH範囲にわたって生じ、それらは典型的には酸性pH条件下で結合する。加えて、本明細書において提供するのは、AFPとヒトFcRnとの結合に影響を及ぼすことができるAFP中の一塩基多型、例えばAFP-FcRn結合を増加させるG109R、R487S、およびS445L、ならびにAFP-FcRnを減少させるT451IおよびD536Vである。
本明細書において実証するように、アルファ−フェトプロテイン(AFP)は、新生児Fc受容体に対する第3のリガンドであり、可溶性ヒトFcRnは、アルブミンで観察される親和性より大きく、IgGの親和性よりも小さい親和性でAFPに結合する。本明細書においてさらに示すように、FcRn上のAFP結合部位は、FcRnのアルブミンおよびIgG結合活性に干渉し、hFcRn上のアルブミン部位について特異的な抗体は、FcRn媒介性AFP輸送を減少させることができる。本明細書において実証するように、AFPへのFcRnの結合は、典型的には酸性pH条件下で結合するIgGおよびアルブミンについて観察されるものよりずっと広いpH範囲にわたり生じる。加えて、本明細書において提供するのは、AFPとヒトFcRnとの結合に影響を及ぼすことができるAFP中の単一ヌクレオチド多型、例えば、AFP-FcRn結合を増加させるG109R、R487S、およびS445LならびにAFP-FcRnを減少させるT451IおよびD536Vである。
A.
アルファ−フェトプロテイン(AFP)とFcRnとの結合を阻害する、AFP-FcRnの阻害剤;および
薬学的に許容される担体
を含む、薬学的組成物。
B.
AFP-FcRnの阻害剤が、野生型AFPのT451Iおよび/またはD536V多型を含む、項Aに記載の薬学的組成物。
C.
AFP-FcRnの阻害剤が、AFPのY521および/またはV522と、FcRnのR42との結合を阻害する、項A〜Bのいずれか一項に記載の薬学的組成物。
D.
AFP-FcRnの阻害剤が、AFPのP492と、FcRnのR69との結合を阻害する、項A〜Cのいずれか一項に記載の薬学的組成物。
E.
AFP-FcRnの阻害剤が、AFPのQ441および/またはV493と、FcRnのE44との結合を阻害する、項A〜Dのいずれか一項に記載の薬学的組成物。
F.
AFP-FcRnの阻害剤が、AFPのH534および/またはE589と、FcRnのN173との結合を阻害する、項A〜Eのいずれか一項に記載の薬学的組成物。
G.
AFP-FcRnの阻害剤が、AFPの疎水性コアと、FcRnとの結合を阻害する、項A〜Fのいずれか一項に記載の薬学的組成物。
H.
AFP-FcRnの阻害剤が、AFPのL484、V493、V497、および/またはF512と、FcRnのV57、W59、および/またはW61との結合を阻害する、項A〜Gのいずれか一項に記載の薬学的組成物。
I.
AFP-FcRnの阻害剤が、AFPのT443と、FcRnのE62および/またはW59との結合を阻害する、項A〜Hのいずれか一項に記載の薬学的組成物。
J.
AFP-FcRnの阻害剤が、AFPのD529と、FcRnのS230との結合を阻害する、項A〜Iのいずれか一項に記載の薬学的組成物。
K.
AFP-FcRnの阻害剤が、AFPのS527および/またはD528と、FcRnと複合体化したβ2mのE50および/または67Yとの結合を阻害する、項A〜Jのいずれか一項に記載の薬学的組成物。
L.
AFP-FcRnの阻害剤が、AFPのR604と、FcRnと複合体化したβ2mのE50でのカルボニル酸素との結合を阻害する、項A〜Kのいずれか一項に記載の薬学的組成物。
M.
AFP-FcRnの阻害剤が、AFPのQ597と、FcRnと複合体化したβ2mのE69との結合を阻害する、項A〜Lのいずれか一項に記載の薬学的組成物。
N.
AFP-FcRnの阻害剤が、AFPのE106と、FcRnのH161との結合を阻害する、項A〜Mのいずれか一項に記載の薬学的組成物。
O.
AFP-FcRnの阻害剤が、AFPのS135と、FcRnのH161との結合を阻害する、項A〜Nのいずれか一項に記載の薬学的組成物。
P.
AFP-FcRnの阻害剤が、AFPのF531、F533、F552、および/またはF575と、FcRnのW53との結合を阻害する、項A〜Oのいずれか一項に記載の薬学的組成物。
Q.
AFP-FcRnの阻害剤が、抗体もしくはその抗原結合フラグメント、小分子化合物、またはRNAもしくはDNAアプタマーである、項A〜Pのいずれか一項に記載の薬学的組成物。
R.
抗体またはその抗原結合フラグメントが、キメラ抗体、ヒト化抗体、または完全ヒト抗体もしくはその抗原結合フラグメントである、項Qに記載の薬学的組成物。
S.
AFP-FcRnの阻害剤が、FcRn上のAFP結合部位を阻害または遮断する、項A〜Rのいずれか一項に記載の薬学的組成物。
T.
AFP-FcRn増強剤および薬学的に許容される担体を含む、薬学的組成物。
U.
AFP-FcRn増強剤が、
AFP-FcRn結合を増加させる、野生型アルファ−フェトプロテイン(AFP)のG109R、R487S、および/またはS445L多型
を含む、項Tに記載の薬学的組成物。
V.
AFP-FcRn増強剤が、AFPのY521および/またはV522と、FcRnのR42との結合を強化する、項T〜Uのいずれか一項に記載の薬学的組成物。
W.
AFP-FcRn増強剤が、AFPのP492と、FcRnのR69との結合を強化する、項T〜Vのいずれか一項に記載の薬学的組成物。
X.
AFP-FcRn増強剤が、AFPのQ441および/またはV493と、FcRnのE44との結合を強化する、項T〜Wのいずれか一項に記載の薬学的組成物。
Y.
AFP-FcRn増強剤が、AFPのH534および/またはE589と、FcRnのN173との結合を強化する、項T〜Xのいずれか一項に記載の薬学的組成物。
Z.
AFP-FcRn増強剤が、AFPの疎水性コアと、FcRnとの結合を強化する、項T〜Yのいずれか一項に記載の薬学的組成物。
AA.
AFP-FcRn増強剤が、AFPのL484、V493、V497、および/またはF512と、FcRnのV57、W59、および/またはW61との結合を強化する、項T〜Zのいずれか一項に記載の薬学的組成物。
BB.
AFP-FcRn増強剤が、AFPのT443と、FcRnのE62および/またはW59との結合を強化する、項T〜AAのいずれか一項に記載の薬学的組成物。
CC.
AFP-FcRn増強剤が、AFPのD529と、FcRnのS230との結合を増強する、項T〜BBのいずれか一項に記載の薬学的組成物。
DD.
AFP-FcRn増強剤が、AFPのS527および/またはD528と、FcRnと複合化したβ2mのE50および/または67Yとの結合を強化する、項T〜CCのいずれか一項に記載の薬学的組成物。
EE.
AFP-FcRn増強剤が、AFPのR604と、FcRnと複合体化したE50 β2mでのカルボニル酸素との結合を強化する、項T〜DDのいずれか一項に記載の薬学的組成物。
FF.
AFP-FcRn増強剤が、AFPのQ597と、FcRnと複合体化したβ2mのE69との結合を強化する、項T〜EEのいずれか一項に記載の薬学的組成物。
GG.
AFP-FcRn増強剤が、AFPのE106と、FcRnのH161との結合を強化する、項T〜FFのいずれか一項に記載の薬学的組成物。
HH.
AFP-FcRn増強剤が、AFPのS135と、FcRnのH161との結合を強化する、項T〜GGのいずれか一項に記載の薬学的組成物。
II.
AFP-FcRn増強剤が、AFPの531、F533、F552、および/またはF575と、FcRnのW53との結合を強化する、項T〜HHのいずれか一項に記載の薬学的組成物。
JJ.
AFP-FcRn増強剤が、抗体もしくはその抗原結合フラグメント、小分子化合物、RNAもしくはDNAアプタマー、またはAFP機能的フラグメントである、項T〜IIのいずれか一項に記載の薬学的組成物。
KK.
抗体またはその抗原結合フラグメントが、キメラ抗体、ヒト化抗体、または完全ヒト抗体もしくはその抗原結合フラグメントである、項JJに記載の薬学的組成物。
LL.
AFP-FcRn増強剤がFcRnに結合し、AFP結合を模倣する、項T〜KKのいずれか一項に記載の薬学的組成物。
MM.
AFP-FcRn増強剤がAFPまたはFcRnと結合するかまたは物理的に相互作用して、AFPとFcRnとの相互作用を強化または促進する、項T〜LLのいずれか一項に記載の薬学的組成物。
NN.
AFP機能的フラグメントが、AFPのY521および/またはV522を含み、かつFcRnのR42と相互作用することができる、項MMに記載の薬学的組成物。
OO.
AFP機能的フラグメントが、AFPのP492を含み、かつFcRnのR69と相互作用することができる、項JJまたはNNのいずれか一項に記載の薬学的組成物。
PP.
AFP機能的フラグメントが、AFPのQ441および/またはV493を含み、かつFcRnのE44と相互作用することができる、項JJまたはNN〜OOのいずれか一項に記載の薬学的組成物。
QQ.
AFP機能的フラグメントが、AFPのH534および/またはE589を含み、かつFcRnのN173と相互作用することができる、項JJまたはNN〜PPのいずれか一項に記載の薬学的組成物。
RR.
AFP機能的フラグメントが、AFPのL484、V493、V497、および/またはF512を含み、かつFcRnのV57、W59、および/またはW61と相互作用することができる、項JJまたはNN〜QQのいずれか一項に記載の薬学的組成物。
SS.
AFP機能的フラグメントが、AFPのT443を含み、かつFcRnのE62および/またはW59と相互作用することができる、項JJまたはNN〜RRのいずれか一項に記載の薬学的組成物。
TT.
AFP機能的フラグメントが、AFPのD529を含み、かつFcRnのS230と相互作用することができる、項JJまたはNN〜SSのいずれか一項に記載の薬学的組成物。
UU.
AFP機能的フラグメントが、AFPのS527および/またはD528を含み、かつFcRnと複合体化したβ2mのE50および/または67Yと相互作用することができる、項JJまたはNN〜TTのいずれか一項に記載の薬学的組成物。
VV.
AFP機能的フラグメントが、AFPのR604を含み、かつFcRnと複合体化したβ2mのE50でのカルボニル酸素と相互作用することができる、項JJまたはNN〜UUのいずれか一項に記載の薬学的組成物。
WW.
AFP機能的フラグメントが、AFPのQ597を含み、かつFcRnと複合体化したβ2mのE69と相互作用することができる、項JJまたはNN〜VVのいずれか一項に記載の薬学的組成物。
XX.
AFP機能的フラグメントが、AFPのE106を含み、かつFcRnのH161と相互作用することができる、項JJまたはNN〜WWのいずれか一項に記載の薬学的組成物。
YY.
AFP機能的フラグメントが、AFPのS135を含み、かつFcRnのH161と相互作用することができる、項JJまたはNN〜XXのいずれか一項に記載の薬学的組成物。
ZZ.
AFP機能的フラグメントが、AFPのF531、F533、F552、および/またはF575を含み、かつFcRnのW53と相互作用することができる、項JJまたはNN〜YYのいずれか一項に記載の薬学的組成物。
AAA.
AFPレベル上昇に関連している疾患または障害における、FcRnとアルファ−フェトプロテイン(AFP)との相互作用を阻害するまたは低下させるための方法であって、それを必要とする対象に項A〜Sのいずれか一項に記載のAFP-FcRn阻害剤を含む薬学的組成物の治療有効量を投与する段階を含む、方法。
BBB.
対象ががんを有する、またはがんと診断されている、項AAAに記載の方法。
CCC.
対象が、原始起源のがんもしくは腫瘍、肝臓由来の腫瘍、例えば肝臓がん、胆管由来の腫瘍、例えば胆管がん、胃がん、膵臓がん、または奇形がんを有する、またはそれと診断されている、項AAAまたはBBBのいずれか一項に記載の方法。
DDD.
抗がん治療剤または抗がん剤を対象に投与する段階をさらに含む、項AAA〜CCCのいずれか一項に記載の方法。
EEE.
腫瘍抗原またはがん抗原を投与する段階をさらに含む、項AAA〜DDDのいずれか一項に記載の方法。
FFF.
AFPレベルの減少に関連している疾患または障害において、あるいは、AFPレベルの増加が有益である場合に、FcRnとアルファ−フェトプロテイン(AFP)との相互作用を増加または増強する方法であって、それを必要とする対象に項T〜ZZのいずれか一項に記載のAFP-FcRn増強剤を含む薬学的組成物の治療有効量を投与する段階を含む、方法。
GGG.
前記必要とする対象が、妊娠している、または妊娠を確立するおよび/もしくは維持することに問題を有するリスクがある、項FFFに記載の方法。
HHH.
対象が、自己免疫疾患もしくは自己免疫障害を有する、またはそれと診断されている、項FFFに記載の方法。
III.
対象が、宿主対移植片病(HVGD)を有するもしくはそれと診断されている、臓器もしくは組織移植レシピエントである、または同種移植のレシピエントである、項FFFに記載の方法。
Claims (61)
- アルファ−フェトプロテイン(AFP)とFcRnとの結合を阻害する、AFP-FcRnの阻害剤;および
薬学的に許容される担体
を含む、薬学的組成物。 - AFP-FcRnの阻害剤が、野生型AFPのT451Iおよび/またはD536V多型を含む、請求項1に記載の薬学的組成物。
- AFP-FcRnの阻害剤が、AFPのY521および/またはV522と、FcRnのR42との結合を阻害する、請求項1〜2のいずれか一項に記載の薬学的組成物。
- AFP-FcRnの阻害剤が、AFPのP492と、FcRnのR69との結合を阻害する、請求項1〜3のいずれか一項に記載の薬学的組成物。
- AFP-FcRnの阻害剤が、AFPのQ441および/またはV493と、FcRnのE44との結合を阻害する、請求項1〜4のいずれか一項に記載の薬学的組成物。
- AFP-FcRnの阻害剤が、AFPのH534および/またはE589と、FcRnのN173との結合を阻害する、請求項1〜5のいずれか一項に記載の薬学的組成物。
- AFP-FcRnの阻害剤が、AFPの疎水性コアと、FcRnとの結合を阻害する、請求項1〜6のいずれか一項に記載の薬学的組成物。
- AFP-FcRnの阻害剤が、AFPのL484、V493、V497、および/またはF512と、FcRnのV57、W59、および/またはW61との結合を阻害する、請求項1〜7のいずれか一項に記載の薬学的組成物。
- AFP-FcRnの阻害剤が、AFPのT443と、FcRnのE62および/またはW59との結合を阻害する、請求項1〜8のいずれか一項に記載の薬学的組成物。
- AFP-FcRnの阻害剤が、AFPのD529と、FcRnのS230との結合を阻害する、請求項1〜9のいずれか一項に記載の薬学的組成物。
- AFP-FcRnの阻害剤が、AFPのS527および/またはD528と、FcRnと複合体化したβ2mのE50および/または67Yとの結合を阻害する、請求項1〜10のいずれか一項に記載の薬学的組成物。
- AFP-FcRnの阻害剤が、AFPのR604と、FcRnと複合体化したβ2mのE50でのカルボニル酸素との結合を阻害する、請求項1〜11のいずれか一項に記載の薬学的組成物。
- AFP-FcRnの阻害剤が、AFPのQ597と、FcRnと複合体化したβ2mのE69との結合を阻害する、請求項1〜12のいずれか一項に記載の薬学的組成物。
- AFP-FcRnの阻害剤が、AFPのE106と、FcRnのH161との結合を阻害する、請求項1〜13のいずれか一項に記載の薬学的組成物。
- AFP-FcRnの阻害剤が、AFPのS135と、FcRnのH161との結合を阻害する、請求項1〜14のいずれか一項に記載の薬学的組成物。
- AFP-FcRnの阻害剤が、AFPのF531、F533、F552、および/またはF575と、FcRnのW53との結合を阻害する、請求項1〜15のいずれか一項に記載の薬学的組成物。
- AFP-FcRnの阻害剤が、抗体もしくはその抗原結合フラグメント、小分子化合物、またはRNAもしくはDNAアプタマーである、請求項1〜16のいずれか一項に記載の薬学的組成物。
- 抗体またはその抗原結合フラグメントが、キメラ抗体、ヒト化抗体、または完全ヒト抗体もしくはその抗原結合フラグメントである、請求項17に記載の薬学的組成物。
- AFP-FcRnの阻害剤が、FcRn上のAFP結合部位を阻害または遮断する、請求項1〜18のいずれか一項に記載の薬学的組成物。
- AFP-FcRn増強剤および薬学的に許容される担体を含む、薬学的組成物。
- AFP-FcRn増強剤が、
AFP-FcRn結合を増加させる、野生型アルファ−フェトプロテイン(AFP)のG109R、R487S、および/またはS445L多型
を含む、請求項20に記載の薬学的組成物。 - AFP-FcRn増強剤が、AFPのY521および/またはV522と、FcRnのR42との結合を強化する、請求項20〜21のいずれか一項に記載の薬学的組成物。
- AFP-FcRn増強剤が、AFPのP492と、FcRnのR69との結合を強化する、請求項20〜22のいずれか一項に記載の薬学的組成物。
- AFP-FcRn増強剤が、AFPのQ441および/またはV493と、FcRnのE44との結合を強化する、請求項20〜23のいずれか一項に記載の薬学的組成物。
- AFP-FcRn増強剤が、AFPのH534および/またはE589と、FcRnのN173との結合を強化する、請求項20〜24のいずれか一項に記載の薬学的組成物。
- AFP-FcRn増強剤が、AFPの疎水性コアと、FcRnとの結合を強化する、請求項20〜25のいずれか一項に記載の薬学的組成物。
- AFP-FcRn増強剤が、AFPのL484、V493、V497、および/またはF512と、FcRnのV57、W59、および/またはW61との結合を強化する、請求項20〜26のいずれか一項に記載の薬学的組成物。
- AFP-FcRn増強剤が、AFPのT443と、FcRnのE62および/またはW59との結合を強化する、請求項20〜27のいずれか一項に記載の薬学的組成物。
- AFP-FcRn増強剤が、AFPのD529と、FcRnのS230との結合を増強する、請求項20〜28のいずれか一項に記載の薬学的組成物。
- AFP-FcRn増強剤が、AFPのS527および/またはD528と、FcRnと複合化したβ2mのE50および/または67Yとの結合を強化する、請求項20〜29のいずれか一項に記載の薬学的組成物。
- AFP-FcRn増強剤が、AFPのR604と、FcRnと複合体化したE50 β2mでのカルボニル酸素との結合を強化する、請求項20〜30のいずれか一項に記載の薬学的組成物。
- AFP-FcRn増強剤が、AFPのQ597と、FcRnと複合体化したβ2mのE69との結合を強化する、請求項20〜31のいずれか一項に記載の薬学的組成物。
- AFP-FcRn増強剤が、AFPのE106と、FcRnのH161との結合を強化する、請求項20〜32のいずれか一項に記載の薬学的組成物。
- AFP-FcRn増強剤が、AFPのS135と、FcRnのH161との結合を強化する、請求項20〜33のいずれか一項に記載の薬学的組成物。
- AFP-FcRn増強剤が、AFPの531、F533、F552、および/またはF575と、FcRnのW53との結合を強化する、請求項20〜34のいずれか一項に記載の薬学的組成物。
- AFP-FcRn増強剤が、抗体もしくはその抗原結合フラグメント、小分子化合物、RNAもしくはDNAアプタマー、またはAFP機能的フラグメントである、請求項20〜35のいずれか一項に記載の薬学的組成物。
- 抗体またはその抗原結合フラグメントが、キメラ抗体、ヒト化抗体、または完全ヒト抗体もしくはその抗原結合フラグメントである、請求項36に記載の薬学的組成物。
- AFP-FcRn増強剤がFcRnに結合し、AFP結合を模倣する、請求項20〜37のいずれか一項に記載の薬学的組成物。
- AFP-FcRn増強剤がAFPまたはFcRnと結合するかまたは物理的に相互作用して、AFPとFcRnとの相互作用を強化または促進する、請求項20〜37のいずれか一項に記載の薬学的組成物。
- AFP機能的フラグメントが、AFPのY521および/またはV522を含み、かつFcRnのR42と相互作用することができる、請求項36に記載の薬学的組成物。
- AFP機能的フラグメントが、AFPのP492を含み、かつFcRnのR69と相互作用することができる、請求項36または40のいずれか一項に記載の薬学的組成物。
- AFP機能的フラグメントが、AFPのQ441および/またはV493を含み、かつFcRnのE44と相互作用することができる、請求項36または40〜41のいずれか一項に記載の薬学的組成物。
- AFP機能的フラグメントが、AFPのH534および/またはE589を含み、かつFcRnのN173と相互作用することができる、請求項36または40〜42のいずれか一項に記載の薬学的組成物。
- AFP機能的フラグメントが、AFPのL484、V493、V497、および/またはF512を含み、かつFcRnのV57、W59、および/またはW61と相互作用することができる、請求項36または40〜43のいずれか一項に記載の薬学的組成物。
- AFP機能的フラグメントが、AFPのT443を含み、かつFcRnのE62および/またはW59と相互作用することができる、請求項36または40〜44のいずれか一項に記載の薬学的組成物。
- AFP機能的フラグメントが、AFPのD529を含み、かつFcRnのS230と相互作用することができる、請求項36または40〜45のいずれか一項に記載の薬学的組成物。
- AFP機能的フラグメントが、AFPのS527および/またはD528を含み、かつFcRnと複合体化したβ2mのE50および/または67Yと相互作用することができる、請求項36または40〜46のいずれか一項に記載の薬学的組成物。
- AFP機能的フラグメントが、AFPのR604を含み、かつFcRnと複合体化したβ2mのE50でのカルボニル酸素と相互作用することができる、請求項36または40〜47のいずれか一項に記載の薬学的組成物。
- AFP機能的フラグメントが、AFPのQ597を含み、かつFcRnと複合体化したβ2mのE69と相互作用することができる、請求項36または40〜48のいずれか一項に記載の薬学的組成物。
- AFP機能的フラグメントが、AFPのE106を含み、かつFcRnのH161と相互作用することができる、請求項36または40〜49のいずれか一項に記載の薬学的組成物。
- AFP機能的フラグメントが、AFPのS135を含み、かつFcRnのH161と相互作用することができる、請求項36または40〜50のいずれか一項に記載の薬学的組成物。
- AFP機能的フラグメントが、AFPのF531、F533、F552、および/またはF575を含み、かつFcRnのW53と相互作用することができる、請求項36または40〜51のいずれか一項に記載の薬学的組成物。
- AFPレベル上昇に関連している疾患または障害における、FcRnとアルファ−フェトプロテイン(AFP)との相互作用を阻害するまたは低下させるための方法であって、それを必要とする対象に請求項1〜19のいずれか一項に記載のAFP-FcRn阻害剤を含む薬学的組成物の治療有効量を投与する段階を含む、方法。
- 対象ががんを有する、またはがんと診断されている、請求項53に記載の方法。
- 対象が、原始起源のがんもしくは腫瘍、肝臓由来の腫瘍、例えば肝臓がん、胆管由来の腫瘍、例えば胆管がん、胃がん、膵臓がん、または奇形がんを有する、またはそれと診断されている、請求項53または54のいずれか一項に記載の方法。
- 抗がん治療剤または抗がん剤を対象に投与する段階をさらに含む、請求項53〜55のいずれか一項に記載の方法。
- 腫瘍抗原またはがん抗原を投与する段階をさらに含む、請求項53〜56のいずれか一項に記載の方法。
- AFPレベルの減少に関連している疾患または障害において、あるいは、AFPレベルの増加が有益である場合に、FcRnとアルファ−フェトプロテイン(AFP)との相互作用を増加または増強する方法であって、それを必要とする対象に請求項20〜52のいずれか一項に記載のAFP-FcRn増強剤を含む薬学的組成物の治療有効量を投与する段階を含む、方法。
- 前記必要とする対象が、妊娠している、または妊娠を確立する、および/もしくは維持することに問題を有するリスクがある、請求項58に記載の方法。
- 対象が、自己免疫疾患もしくは自己免疫障害を有する、またはそれと診断されている、請求項58に記載の方法。
- 対象が、宿主対移植片病(HVGD)を有するもしくはそれと診断されている、臓器もしくは組織移植レシピエントである、または同種移植のレシピエントである、請求項58に記載の方法。
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CN109641045A (zh) * | 2016-04-25 | 2019-04-16 | Synt免疫公司 | 人源化亲和力成熟的抗fcrn抗体 |
EP3512551A4 (en) * | 2016-09-16 | 2020-08-05 | The Brigham and Women's Hospital, Inc. | BLOCUS OF INTERACTIONS OF ALPHAF TOPROTEIN (AFP) WITH MOLECULES ASSOCIATED WITH MICROGLOBULIN BETA2 |
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JP6792454B2 (ja) | 2020-11-25 |
US20200031928A1 (en) | 2020-01-30 |
EP3804745A1 (en) | 2021-04-14 |
EP3148567A2 (en) | 2017-04-05 |
US20200010543A1 (en) | 2020-01-09 |
US20170044257A1 (en) | 2017-02-16 |
WO2015164364A2 (en) | 2015-10-29 |
EP3148567A4 (en) | 2018-01-10 |
WO2015164364A3 (en) | 2016-03-31 |
CA2983794A1 (en) | 2015-10-29 |
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